Form Cdl-3a - Application For Military Skills Test Waiver - Texas Department Of Public Safety Page 2
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2CERTIFICATION OF DRIVING EXPERIENCE
YES NO
23.
Have you been regularly employed or were you regularly employed within the last 12 months in a military position requiring the operation
of a military motor vehicle that was representative of a commercial motor vehicle (CMV)?
24.
Were you exempted from the CDL licensing requirements for driving a military vehicle on state roads and highways in accordance with 49
CFR §383.3 (c)?
25.
Have you operated a military motor vehicle representative of the commercial motor vehicle (CMV) that you operate or expect to operate,
for at least the 2 years immediately preceding discharge from the military?
I certify under penalty of perjury that the information on this form is true and correct to the best of my knowledge, information and belief.
APPLICANT’S SIGNATURE
DATE
Sworn to and subscribed before me on this the
day of
,
Notary Public or Authorized Officer
COMMANDING OFFICER’S CERTIFICATION OF COMMERCIAL DRIVING EXPERIENCE
LAST NAME
FIRST NAME
STREET ADDRESS
TELEPHONE NUMBER
CITY, STATE, ZIP, COUNTY
SERVICE MEMBER’S DATE OF QUALIFICATION: FROM
TO
SERVICE MEMBER’S NAME
EXPIRATION DATE
(US Gov’t Motor Vehicle Operator Identification Card / License)
CIRCLE THE HIGHEST CLASS OF VEHICLES THE SERVICE MEMBER HAS BEEN DRIVING:
Class
Vehicle Description
EXAMPLE OF VEHICLES IN GROUP
5th WHEEL - Truck Tractor/Semitrailer
Any combination of vehicles with a GCWR
A
of 26,001 or more pounds provided the
GVWR of the vehicle(s) being towed is in
excess of 10,000 pounds.
PINTLE HOOK - Truck Trailer
Combination
Any combination of vehicles with a GCWR
A
of 26,001 or more pounds provided the
GVWR of the vehicle(s) being towed is in
excess of 10,000 pounds.
Any single vehicle with a GVWR of 26,001
or more pounds or any such vehicle towing
B
a vehicle not in excess of 10,000 pounds
GVWR.
The vehicle the service member operates is equipped with a full air brake system:
YES
NO
The vehicle the service member operates is equipped with an air-over-hydraulic braking system:
YES
NO
The transmission in the vehicle the service member operates is:
AUTOMATIC
MANUAL
I certify that the service member named on the front of this document is/was assigned in a job/assignment requiring the
operation of a commercial motor vehicle, the service member’s driving experience has been verified; and the information
provided herein is true and correct to my knowledge, information and belief. I also certify that I am an officer of the Armed
Forces with the authority to administer oaths; and who has the general powers of a notary public.
PRINT COMMANDING OFFICER’S NAME/RANK
SIGNATURE
DATE
Authority of Article 136, Uniform Code of Military Justice or 10 U.S.C. 1044A and TRC 522.023 (F)
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